Unitedhealth Group Inc. Dallas , TX 75201
Posted 3 days ago
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Accounts Payable Provider
This position is full time Monday
Friday. Employees are required to have flexibility to work 8-hour shift schedules during our normal business hours of 6:00 am
5:30 pm CST.
We offer 2
4 weeks of paid training. The hours during training will be 8:00 am
4:30 pm CST, Monday
Friday. Training will be conducted virtually from your home.
Primary Responsibilities:
Analyze / research / understand how a claim was processed and why it was denied
Obtain relevant medical records to submit appeals or grievance for additional review, as needed
Leverage appropriate resources to obtain all information relevant to the claim
Identify and obtain additional information needed to make an appropriate determination
Obtain / identify contract language and processes / procedures relevant to the appeal or grievance
Work with applicable business partners to obtain additional information relevant to the claim (e.g., Network Management, Claim Operations, Enrollment, Subrogation)
Determine whether additional appeal or grievance reviews are required (e.g., medical necessity), and whether additional appeal rights are applicable
Determine where specific appeals or grievances should be reviewed/handled, and route to other departments as appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED OR equivalent experience
Must be 18 years of age OR older
2+ years of experience with processing medical and / OR dental claims
1+ years of experience with PCs and Microsoft office, including Microsoft Outlook (calendar management, sending correspondence), Microsoft Word (drafting, sending and saving documents), Microsoft Excel (basic formulas, creating and sending spreadsheets), and Microsoft PowerPoint (creating, sending and saving presentations)
Ability to work independently
Time management skills
Ability to create professionally written emails to providers
Phone etiquette skills
Customer Service
Ability to work any 8-hour shift between the hours of 6:00 AM
5:30 PM CST from Monday
Friday
Preferred Qualifications:
Applies knowledge / skills to a range of moderately complex activities
Demonstrates depth of knowledge / skills in own function
Sometimes acts as a technical resource to others in own function
Proactively identifies solutions to non - standard requests
Solves moderately complex problems on own
Works with team to solve complex problems
Plans, prioritizes, organizes, and completes work to meet established objectives
May coordinate work of another team member
Telecommuting Requirements:
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO
Unitedhealth Group Inc.